Active NPI
Carleena Wozniak, OTR/L
- Occupational Therapist
- Edwardsville, PA
National Provider Identifier
1679254338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC018449
- Practice address
- 280 Meyers St
Edwardsville, PA 18704-1722 - Phone
- (570) 780-5746
- NPI assigned
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC018449 | PA | Primary |
Addresses
Primary practice location
280 Meyers St
Edwardsville, PA 18704-1722
Mailing address
280 Meyers St
Edwardsville, PA 18704-1722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 E Ctr Hill Rd
Dallas, PA 18612-1147
Phone (570) 675-2300
87 Oxford St
Hanover Township, PA 18706-3350
Phone (570) 825-3909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC018449 | PA | MD | Occupational Therapist |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pro Rehabilitation Services
- Physical Therapist
- Plains, PA
- NPI 1184700684
-
dba Pro Rehabilitiation Services
- Physical Therapist
- W Hazleton, PA
- NPI 1659457158
-
dba PRO Rehabilitation Services
- Physical Therapist
- New Milford, PA
- NPI 1679165559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1679254338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MEYERS ST",
"city": "EDWARDSVILLE",
"state": "PA",
"postal_code": "187041722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MEYERS ST",
"city": "EDWARDSVILLE",
"state": "PA",
"postal_code": "187041722",
"telephone_number": "570-780-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOZNIAK",
"first_name": "CARLEENA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-26",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC018449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwardsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.